K Number
K971718
Device Name
MICRO-SEAL ACETABULAR SYSTEM
Date Cleared
1997-07-23

(75 days)

Product Code
Regulation Number
888.3358
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
This device is intended to be used for: - noninflammatory degenerative joint disease including 1. osteoarthritis and avascular necrosis - rheumatoid arthritis, 2. - correction of functional deformity, 3. - revision procedures where other treatments or devices have 4. failed, - 5. treatment of non-unions, femoral neck and trochanteric fractures of the proximal femur with head involvement, unmanageable using other techniques.
Device Description
This implantable device consists of a generally hemispherical shape titanium shell with six screw holes for optional additional fixation with bone screws. A UHMWPE modular liner is pressed or tapped into the shell. Push out resistance of the polyethylene is attained by the interlocking geometry of the shell. Rotational fixation is obtained by tabs located on the liner that mate with notches on the shell. Toggle fixation is achieved with the nub on the backside The inner surface of the of the liner fitting into the driver hole through the shell. polyethylene articulates with the spherical portion of the femoral component.
More Information

Not Found

Not Found

No
The device description focuses on the physical components and mechanical function of an implantable orthopedic device. There is no mention of software, algorithms, or any terms related to AI/ML. The sections specifically looking for mentions of AI, DNN, ML, training sets, test sets, and performance metrics are all marked as "Not Found".

Yes
The device is described as an "implantable device" with explicit "Intended Use / Indications for Use" that include the "treatment of non-unions" and "femoral neck and trochanteric fractures," as well as "correction of functional deformity" in conditions like "osteoarthritis" and "rheumatoid arthritis." These uses directly involve treating medical conditions and restoring function, indicating a therapeutic purpose.

No
The document describes an implantable device (titanium shell with UHMWPE liner) used for treatment and correction of various musculoskeletal conditions, not for diagnosing them.

No

The device description clearly describes a physical, implantable medical device made of titanium and UHMWPE, not a software-only device.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use describes the device's purpose in treating various joint conditions and fractures. This involves direct intervention within the body for therapeutic purposes.
  • Device Description: The device is described as an "implantable device" consisting of a titanium shell and a UHMWPE liner. This is a physical implant designed to replace or support a joint.
  • Lack of IVD Characteristics: An IVD is a medical device used to perform tests on samples taken from the human body (like blood, urine, tissue) to provide information about a person's health. The provided description does not mention any testing of samples or diagnostic purposes.

Therefore, this device falls under the category of an implantable medical device used for surgical treatment, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

This device is intended to be used for:

  • noninflammatory degenerative joint disease including 1. osteoarthritis and avascular necrosis
  • rheumatoid arthritis, 2.
  • correction of functional deformity, 3.
  • revision procedures where other treatments or devices have 4. failed,
    1. treatment of non-unions, femoral neck and trochanteric fractures of the proximal femur with head involvement, unmanageable using other techniques.

Product codes

LPH

Device Description

This implantable device consists of a generally hemispherical shape titanium shell with six screw holes for optional additional fixation with bone screws. A UHMWPE modular liner is pressed or tapped into the shell. Push out resistance of the polyethylene is attained by the interlocking geometry of the shell. Rotational fixation is obtained by tabs located on the liner that mate with notches on the shell. Toggle fixation is achieved with the nub on the backside The inner surface of the of the liner fitting into the driver hole through the shell. polyethylene articulates with the spherical portion of the femoral component.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Not Found

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 888.3358 Hip joint metal/polymer/metal semi-constrained porous-coated uncemented prosthesis.

(a)
Identification. A hip joint metal/polymer/metal semi-constrained porous-coated uncemented prosthesis is a device intended to be implanted to replace a hip joint. The device limits translation and rotation in one or more planes via the geometry of its articulating surfaces. It has no linkage across the joint. This generic type of device has a femoral component made of a cobalt-chromium-molybdenum (Co-Cr-Mo) alloy or a titanium-aluminum-vanadium (Ti-6Al-4V) alloy and an acetabular component composed of an ultra-high molecular weight polyethylene articulating bearing surface fixed in a metal shell made of Co-Cr-Mo or Ti-6Al-4V. The femoral stem and acetabular shell have a porous coating made of, in the case of Co-Cr-Mo substrates, beads of the same alloy, and in the case of Ti-6Al-4V substrates, fibers of commercially pure titanium or Ti-6Al-4V alloy. The porous coating has a volume porosity between 30 and 70 percent, an average pore size between 100 and 1,000 microns, interconnecting porosity, and a porous coating thickness between 500 and 1,500 microns. The generic type of device has a design to achieve biological fixation to bone without the use of bone cement.(b)
Classification. Class II.

0

510(k) SUMMARY

Device:

Classification Name:

Classification No .: Common/Usual Name: Proprietary Name:

Prosthesis, Hip, Semi-constrained, Metal/Polymer, Porous Uncemented 87LPH Acetabular Shell Micro-Seal Acetabular System

JUL 2 3 1997

71718

Manufacturer Identification:

Whiteside Biomechanics, Inc. 12634 Olive Blvd. St. Louis, MO 63141

Establishment Registration Number: 1932213

Device Description:

This implantable device consists of a generally hemispherical shape titanium shell with six screw holes for optional additional fixation with bone screws. A UHMWPE modular liner is pressed or tapped into the shell. Push out resistance of the polyethylene is attained by the interlocking geometry of the shell. Rotational fixation is obtained by tabs located on the liner that mate with notches on the shell. Toggle fixation is achieved with the nub on the backside The inner surface of the of the liner fitting into the driver hole through the shell. polyethylene articulates with the spherical portion of the femoral component.

ﺎ ﺗﻮ

Intended Use:

This device is intended to be used for:

  • noninflammatory degenerative joint disease including 1. osteoarthritis and avascular necrosis
  • rheumatoid arthritis, 2.
  • correction of functional deformity, 3.
  • revision procedures where other treatments or devices have 4. failed,
    1. treatment of non-unions, femoral neck and trochanteric fractures of the proximal femur with head involvement, unmanageable using other techniques.

Additional Information:

The acetabular shell is made of titanium 6A1-4V (ASTM F1472) with commercially pure titanium plasma spray (ASTM F1580). The liner is made of UHMWPE conforming to ASTM F648. The device is supplied double peal packed and EtO sterilized in accordance with AAMI Guidelines for sterilization (ISO 11135).

1

I. Sterilization Controls

Sterilization Statement

All acetabular components will be provided sterile and double pouched. They will be sterilized in 100% ethylene oxide with nitrogen. The box labels will include an exposure indication dot that will change color upon exposure to the sterilant. Through testing methods established by applicable sections of AAMI, FDA, NRC, and ISO guidelines for sterilization validation, the devices packaged and sterilized will meet 104 sterility level. Whiteside Biomechanics, Inc. will make NO claim to "pyrogen free" status.

We will use: Tri-State Hospital Supply Corporation, 301 Catrell, Howell, Michigan 48843 (517) 546-5400 for sterilization.

We appreciate your review of this information and attachments, and look forward to your reply. If you have any questions, or require points of clarification, please call me at (314) 996-8540 and I would be happy to help facilitate this process.

Sincerely,

Michael C. Watts

Michael C. Wall Official Correspondent

Enclosures

2

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" arranged around the perimeter. Inside the circle is a stylized image of a human figure in profile, with three overlapping heads representing health and well-being.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Michael C. Wall, RN Official Correspondent . Whiteside Biomechanics 12634 Olive Boulevard St. Louis, Missouri 63141

JUL 2 3 1997

Re: K971718 Whiteside Biomechanics Micro-Seal Acetabular System with Plasma-Spray Titanium Coating Regulatory Class: II Product Code: LPH Dated: May 6, 1997 Received: May 9, 1997

Dear Mr. Wall:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act). You may, therefore, market the device, subject to the general controls provisions The general controls provisions of the Act of the Act. include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the current Good Manufacturing Practice requirement, as set forth in the Quality System Regulation (QS) for Medical

3

Paqe 2 - Michael C. Wall, RN


Devices: General regulation (21 CFR Part 820) and that, through periodic (QS) inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to - comply with the GMP regulation may result in regulatory --------action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal Laws or Requlations.

Under Section 522(a) of the act, manufacturers of certain types of devices identified by the Act or designated by FDA are required to conduct postmarket surveillance studies. FDA has identified under Section 522(a) (1) (C) the device cleared for marketing by this letter as requiring postmarket surveillance. The rationale for this decision is contained in the enclosed attachment.

Within thirty (30) days of first introduction or delivery for introduction of this device into interstate commerce you are required to submit to FDA certification of the date of introduction into interstate commerce, a detailed protocol which describes the postmarket surveillance study, and a detailed profile of the study's principal investigator that clearly establishes the qualifications and experience of the individual to conduct the proposed study. For your information, general guidance on preparing a protocol for a postmarket surveillance study is attached.

Submit five (5) copies to:

Center for Devices and Radiological Health Postmarket Surveillance Studies Document Center Room 3083 (HFZ-544) 1350 Piccard Drive Rockville, Maryland 20850

Within sixty (60) days of receipt of your protocol, FDA will either approve or disapprove it and notify you of the Agency's action in writing. You should not begin your postmarket

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Page 3 - Michael C. Wall, RN

surveillance study of this device until the protocol has been approved. Data generated under an unapproved protocol may not satisfy your obligation under section 522. Please note that you must continue to collect and report data needed to -------maintain compliance with Medical Device Reporting regulations (21 CFR 803).

Failure to certify accurately the date of initial introduction of your device into interstate commerce, to submit timely an acceptable protocol, or to undertake and complete an FDA approved postmarket surveillance study consistent with the protocol will be considered violations of section 522. In accordance with the Medical Device Amendments of 1992, failure of a manufacturer to meet its obligations under section 522 is a prohibited act under section 301 (q) (1) (C) of the Act (21 U.S.C. 331 (q) (1) (C). Further, under section 502 (t) (3) of the act (21 U.S.C. 352(t)(3)), a device is misbranded if there is a failure or refusal to comply with any requirement under section 522 of the act. Violations of sections 301 or 502 may lead to regulatory actions including seizure of your product, injunction, prosecution, or civil money penalties.

If you have questions concerning postmarket surveillance study requirements, contact the Postmarket Surveillance Studies Branch at (301) 594-0639.

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification immediately. An FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4659. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be

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Page 4 - Michael C. Wall, RN

obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address "http://www.fda.gov/cdrh/dsmamain.html".

Sincerely yours,

Celia M. Witten, Ph.D., M.D. Director Division of General and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosures

6

12:52 ☎301 480.3001

FDA CDRH ODL

MicroSeal Plasma Sprayed Acetabular Shell Device Name:

Indications For Use:

510(k) Number (if known):

  • 1 . noninflammatory degenerative joint disease including osteoarthritis and avascular necrosis, ... ... . ... .. .. .. .. ..
    1. rheumatoid arthritis,
    1. correction of functional deformity,
    1. revision procedures where other treatments or devices have failed,
  • treatment of non-unions, femoral neck and trochanteric fractures of the proximal 5. femur with head involvement, unmanageable using other techniques,

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)
(Division Sign-Off)
Division of General Restorative Devices1971718

510(k) Number .

Prescription Use (Per 21 CFR 801.109)

ાર

Over-The-Counter Use

(Optional Formal 1-2-96)

SK-45